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TMSIS Dataguide Medicaid.gov

Version:

3.40.0

RULE-9229

Data Quality Measure
Last updated

Key Information

Measure Name % of claim headers that are not FFS claims or managed care encounters
File Type CIP
Measure ID RULE-9229
Measure Type Claims Percentage
Content area ALL
Grace Period Expiration 04/30/2027

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area N/A
Category File integrity

Claim Information

Claim Type Medicaid,FFS or Medicaid,Enc or CHIP,FFS or CHIP,Enc
Adjustment Type N/A
Crossover Type N/A

Thresholds

Minimum 0
Maximum 0.02
TA Minimun 0
TA Maximum 0.02
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element TYPE-OF-CLAIM
DD Data Element Number CIP100

Annotation N/A
Specification RULE-9229